Provider Demographics
NPI:1780291286
Name:ARGUELLES, KIM ANN
Entity type:Individual
Prefix:
First Name:KIM
Middle Name:ANN
Last Name:ARGUELLES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KIM
Other - Middle Name:ANN
Other - Last Name:MEAUX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:103 WESTWOOD DR APT 136
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70506-4003
Mailing Address - Country:US
Mailing Address - Phone:337-298-2240
Mailing Address - Fax:
Practice Address - Street 1:700 SAINT LANDRY ST
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70506-4630
Practice Address - Country:US
Practice Address - Phone:225-291-9646
Practice Address - Fax:225-291-9692
Is Sole Proprietor?:No
Enumeration Date:2020-09-28
Last Update Date:2020-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health